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NGT policies about days until removal for Neonates

NICU   (254 Views | 8 Replies)

deweydecimal13501 has 20+ years experience .

3,173 Profile Views; 50 Posts

I am posting for a Nursing Clinician in my hospital.  She is interested in finding out about nasograstic tubes and  time until removal (daily, days, weeks? other time frames?) for Neonatal patients.    What do you you do?  Can you please share your policy or tell us what you do.  She would be very grateful   

I have done the literature searching (medical/nursing) and guidelines and  searching for best practices.  But would like to know what you are doing if possible.  

Thank-you so much,

Deweydecimal13501 

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JadedCPN has 13 years experience as a BSN, RN and specializes in Pediatrics, Pediatric Float, PICU, NICU.

1 Follower; 991 Posts; 8,637 Profile Views

In general in my pediatric experience, NGT are good for 30 days and then need to be changed due to tube integrity and also to rotate nare to prevent skin breakdown. However I have only dabbled in neonatal care over the years so it may be different due to their more fragile skin.

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adventure_rn is a BSN and specializes in NICU, PICU.

3 Followers; 1 Article; 1,414 Posts; 19,680 Profile Views

I think that the length of use has a lot to do with manufacturer recommendations. Most are designed to be used for 24 hours or 30 days.

Tubes are removed after the period of time recommended by the manufacturer, or earlier if it is removed by the patient or the patient condition changes and it is no longer needed.

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NICU Guy has 5 years experience as a BSN, RN and specializes in NICU.

2 Followers; 3,654 Posts; 33,143 Profile Views

30 days, if they are needed that long. In five years, I don't  think I have seen them last that long. Usually, within a week they have managed to pull the tube out of their nose (regardless how well we tape it). When they are stuck in an isolette 24/7, they have all the time in the world to find a way to get it out of their nose. Once it is pulled out of the nose, we replace it with a new one.   

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412 Posts; 5,110 Profile Views

28 days but as said above you should also find out what manufacturer says some tubes are marketed for longer term use 

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Ashley NICU has 12 years experience and specializes in NICU.

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We change out NGT every 7 days. It is flagged in EPIC and will be a pop-up reminder when it is due to be changed. 

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NICU Guy has 5 years experience as a BSN, RN and specializes in NICU.

2 Followers; 3,654 Posts; 33,143 Profile Views

4 hours ago, Ashley NICU said:

It is flagged in EPIC and will be a pop-up reminder when it is due to be changed. 

The pop-up was requested by your facility when tailoring your Epic software. It is not standard in Epic.

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Ashley NICU has 12 years experience and specializes in NICU.

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Yes, our facility chose to have EPIC flag this for us every 7 days per our hospital protocol. 🙂 

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507 Posts; 2,304 Profile Views

On 5/4/2020 at 5:56 PM, NICU Guy said:

30 days, if they are needed that long. In five years, I don't  think I have seen them last that long. Usually, within a week they have managed to pull the tube out of their nose (regardless how well we tape it). When they are stuck in an isolette 24/7, they have all the time in the world to find a way to get it out of their nose. Once it is pulled out of the nose, we replace it with a new one.   

"They have all the time in the world" lolol.  I never thought of it that way but you're so right!

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